NPI | 1750315560 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G49961) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G49961) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2015-07-13 |